Denials Process Consultant 3 yrs of experience in Denial Managemt

manila, National Capital Region

Posted 16 days ago


Company:: BPO-services
Company Description:: Customer Interaction: Handle inbound and outbound customer calls, emails, and chats with professionalism and empathy. Issue Resolution: Address customer concerns, troubleshoot problems, and provide effective solutions to ensure a positive customer experience. Product/Service Knowledge: Develop a deep understanding of our products/services to provide accurate information and support to customers. Documentation: Maintain detailed and accurate records of customer interactions, transactions, and issue resolutions. Team Collaboration: Work collaboratively with team members and other departments to achieve overall customer satisfaction goals. Adherence to Policies: Follow established procedures and guidelines to ensure compliance with company policies and industry standards. Continuous Improvement: Provide feedback on processes and suggest improvements for better efficiency and customer satisfaction. Requirements: High school diploma or equivalent; some college education preferred. Excellent communication skills in [language(s) required]. Previous customer service experience in a BPO or related industry is a plus. Ability to adapt to a fast-paced and ever-changing work environment. Strong problem-solving skills and a customer-centric mindset. Benefits: Competitive salary and performance-based incentives. Comprehensive training programs. Career growth opportunities within the organization. Health and wellness benefits. Positive and collaborative work culture. Join our team and be part of a dynamic BPO environment committed to delivering outstanding customer service! Apply now to embark on a rewarding career journey.
Contract Type:: Full Time
Experience Required:: 5 to 10 years
Education Level:: Bachelor’s Degree
Gender:: Any
Number of vacancies:: 5

Job Description

Denials Process Consultant

***At least 3 years of experience in Denial Management
• 5+ years of experience working with RCM hospitals and operations or clinical professionals
• 5+ years of experience analyzing large data sets to identify trends, develop baselines, and track improvement
• 5+ years of experience creating presentations demonstrating outcomes and presenting in-person or remotely to executive audiences
• 3+ years of experience in Healthcare Revenue Cycle including Denials Management and Payor Appeals
• 3+ years of experience working with Patient Financial Services, Business Office, Insurance claim billing, Collections, Reimbursement, Patient Access, Coding
• 3+ years of experience in denial prevention operations and/or process improvement methodologies

PHP 115,000 - PHP 150,000 Basic Salary + PHP 3,600 Allowance

QC, Makati, Muntinlupa
Night Shift; Weekends Off; Hybrid; Follows US Holidays